| Occupation as written | Widow of no occupation |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 12 Jul 1909 |
| Application status | Approved |
| Official | |
| Date of approval or denial | 10 Aug 1909 |
| If rejected, why? | |
| Birthplace as written | Oberhörgen, Grosberzigthǔn, Germany |
| Modern country | Germany |
| Age on application | 76 |
| Age on arrival in Australia | 31 |
| Port of Departure | Germany |
| Port of Arrival | Melbourne |
| Date of arrival | 3 Jul 1864 |
| Name of ship | Southern Empire |
| Voyage | Southern Empire (1864-07-03) |
| Address in Australia | 15 Main Road, Ballarat |
| Address State | Victoria |
| Time at address | 10 years |
| Previous address 1 | Western Australia |
| Address State | Western Australia |
| Time at address | 5 years |
| Previous address 2 | Creswick |
| Address State | Victoria |
| Time at address | 30 years |
| Married | Widow | |
| Children | Yes | 2: one son and one daughter, Peter Lenz and Annie Clanes (or Clares). |
| Name of reference | John M. Kline |
| Occupation of reference | Justice of the Peace (Victoria) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | Yes |
| Reason | N/A |
| Other information |